Delegating Physician, Texas (Remote, Contract)
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, weekend coverage, nights and shift pattern and time off.
Job Description
Delegating Physician, Texas (Remote, Contract)
About Total Life
Total Life is a telehealth company dedicated to the health of older adults. Over five years we have delivered care to more than 10,000 patients, and we are now expanding into lifestyle and longevity medicine: preventative, whole-person care for adults 65 and over, focused on sleep, nutrition, movement, mental health and social connection. We complement patients' primary care rather than replace it, and we partner with senior living communities to bring care to residents.
The Role
We are looking for a Texas-licensed physician to serve as delegating physician for our Texas nurse practitioners under Prescriptive Authority Agreements. This is a remote, part-time contract role requiring a few hours per month for each NP. No travel or on-site presence is required.
Responsibilities
Enter into Prescriptive Authority Agreements with Total Life nurse practitioners and register them with the Texas Medical Board
- Hold a documented quality assurance meeting with each NP at least monthly, by video or phone
- Review an agreed sample of each NP's charts
- Be available by phone or video for clinical consultation during NP practice hours, and arrange alternate physician coverage when unavailable
- Agree the practice plan with each NP, including consultation, referral and emergency protocols
- Support NPs caring for patients via telehealth and at partner senior living communities
Requirements
- MD or DO with an active, unrestricted Texas medical licence
- Board certified in internal medicine, family medicine or geriatrics
- No history of disciplinary action
- Capacity to delegate to additional NPs within Texas limits
- Comfortable supporting telehealth practice with an older adult population
- Current malpractice coverage that includes delegation or supervision
Nice to Have
- Experience delegating to NPs in a telehealth setting
- Experience in geriatrics, senior living or long-term care
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Delegating Physician, Texas (Remote, Contract) at Total Life a 8.1 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Internal Medicine — ranked against 1,347 active Internal Medicine listings on WeekdayDoc. Contributing factors include no on-call duties, remote work flexibility.
Internal Medicine — Physician Career Context
Total Life holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 83/100, 60 active listings.
Of the 50 active Internal Medicine listings this role was benchmarked against, 12% are remote, 42% have no call, 56% require no weekends — this position is remote.
| Measure | This job | Market |
|---|---|---|
| Work-life score | 8.1 / 10 · top 5% in internal medicine | ranked against 1,347 Internal Medicine listingslisting-based score, 0–10 |
| Listed pay | not listed | Internal Medicine median $275k (middle half $258k–$311k)350 comparable listings, Nov 2026 |
| Work setting | remote | peers: 12% remote · 42% no call · 56% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | US physician listings (all specialties): 25% state a sign-on bonus (median $50k) · 10% offer loan repayment1,000 active listings, Nov 2026 |
| Internal Medicine hiring demand | #3 of 28 specialties | postings stay open a median 38 daysWeekdayDoc Hiring Index, October 2026 · 579 postings, 472 closed |
| New Internal Medicine listings | 539 in the last 30 days | 345 the 30 days before (+56%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Internal Medicine pay trend | +8.5% vs prior quarter | —through Oct 2026 |
| Total Life | silver tier, 83/100 | Top Employers work-life index60 active listings |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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